Indiana
Professional Licensing Agency
Larry W Fish
Controlled Substance Registration-Osteopathic Physician
License number
02000830B
Date granted
01/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
710 STATE ROAD 25 NORTH, ROCHESTER IN 46975
indianalicensing.org
ID 5812347
LAST UPDATED 2026-05-30 17:54:55 UTC
LAST UPDATED 2026-05-30 17:54:55 UTC
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